Milestone 2 Project For NR 447
Following Safety and Medicare Requirements in Home Care
Jennifer Wilson
Chamberlain School of Nursing
Professor Amanda Denno
NR 447 Collaborative Health Care
Following Safety and Medicare Requirements in Home Care
Introduction
The first SMART goal is regarding the elevated re-hospitalization rates, and how as a team we can reduce these numbers by 10% within the next six months. I chose this goal because the Medicare requirements are changing for reimbursement rates and we are a non-for profit organization where cutting down on any costs are important for not only our organization but also for our patients.
Secondly, the next SMART goal I chose was how we can increase the compliance of incident reports being filled out for patient injuries, falls and infections by 10% within the next 3 months. I chose this SMART goal because this is an area in which we have been falling behind and this is an lack in compliance. Case Managers and Triage Nurses are responsible for making sure these are completed and returned to our managers in a timely manner.
Goal 1: Leadership Development
The complete Hospice Team; Social worker, CNA, Pastoral Care, Bereavement Services, RN/ Case Manager and Volunteers will all work together to achieve this goal by beginning teaching at time of admission. The Hospice team will all work together in order to make sure that the patient will die comfortably in their home with their family by their side and will do this without returning to the hospital. .We will provide the family with all of the information and support they will need in order to feel comfortable in keeping their loved one at home without returning them to the hospital. They will have access to a nurse 24 hours a day/7 days a week through our Triage line and will be reminded at each visit to use this form of communication in order to prevent re-hospitalization.
Peer-Reviewed Articles In the article, Hospital Readmission Rates in Medicare Advantage Plans, this article speaks
Jennifer Wilson
Chamberlain School of Nursing
Professor Amanda Denno
NR 447 Collaborative Health Care
Following Safety and Medicare Requirements in Home Care
Introduction
The first SMART goal is regarding the elevated re-hospitalization rates, and how as a team we can reduce these numbers by 10% within the next six months. I chose this goal because the Medicare requirements are changing for reimbursement rates and we are a non-for profit organization where cutting down on any costs are important for not only our organization but also for our patients.
Secondly, the next SMART goal I chose was how we can increase the compliance of incident reports being filled out for patient injuries, falls and infections by 10% within the next 3 months. I chose this SMART goal because this is an area in which we have been falling behind and this is an lack in compliance. Case Managers and Triage Nurses are responsible for making sure these are completed and returned to our managers in a timely manner.
Goal 1: Leadership Development
The complete Hospice Team; Social worker, CNA, Pastoral Care, Bereavement Services, RN/ Case Manager and Volunteers will all work together to achieve this goal by beginning teaching at time of admission. The Hospice team will all work together in order to make sure that the patient will die comfortably in their home with their family by their side and will do this without returning to the hospital. .We will provide the family with all of the information and support they will need in order to feel comfortable in keeping their loved one at home without returning them to the hospital. They will have access to a nurse 24 hours a day/7 days a week through our Triage line and will be reminded at each visit to use this form of communication in order to prevent re-hospitalization.
Peer-Reviewed Articles In the article, Hospital Readmission Rates in Medicare Advantage Plans, this article speaks
References: Qual Saf Health Care 2004; 13: 281-286 doi:10.1136/qshc.2003.009100 Marieke, & Adriana. (2013). introducing incident reporting in primary care: a translation from safety science into medical practice. Health, Risk & Society, 15(3), 265-278 doi:10.1080/13698575.2013.776014 Lemieux, Jeff. (2012). Hospital Readmission Rates in Medicare Advantage Plans. American Journal of Managed Care,18(2), 96-104 N.A. (2009). U.S. Department of Health and Human Services. Agency for Healthcare and Research and Quality. Retrieved from http://www.innovations.ahrq.gov/content.aspx?id=3287